温针灸配合红外线照射治疗肩周炎风寒湿痹证临床研究  

Clinical Study on Warming-Needle Moxibustion Combined with Infrared Irradiation for Frozen Shoulder with Wind-Cold-Damp Obstruction Syndrome

作　　者：王强力 徐欢欢[1] 郑贺彬 陈宁宁[1] WANG Qiangli;XU Huanhuan;ZHENG Hebin;CHEN Ningning(Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]浙江中医药大学附属温州市中医院,浙江温州325000

出　　处：《新中医》2025年第6期86-90,共5页New Chinese Medicine

摘　　要：目的:观察温针灸配合红外线照射治疗肩周炎风寒湿痹证的临床疗效及对缓激肽(BK)、5-羟色胺(5-HT)、前列腺素E2(PGE2)的影响。方法:选取2023年5月—2024年5月在浙江中医药大学附属温州市中医院治疗的94例肩周炎风寒湿痹证患者,使用随机数字表法分为对照组和试验组,每组47例。对照组以红外线照射治疗,试验组以温针灸配合红外线照射治疗,2组均治疗4周。比较2组临床疗效,Constant-Murley肩关节功能评估量表(CMS)、肩关节疼痛和功能障碍指数(SPADI)评分,以及血清BK、5-HT、PGE2水平;记录治疗期间的不良反应。结果:治疗4周后,总有效率试验组91.49%(43/47),高于对照组74.47%(35/47),差异有统计学意义(P<0.05)。2组CMS评分均较治疗前升高,SPADI评分均较治疗前降低,差异均有统计学意义(P<0.05);试验组CMS评分高于对照组,SPADI评分低于对照组,差异均有统计学意义(P<0.05)。2组血清BK、5-HT、PGE2水平均较治疗前降低,差异均有统计学意义(P<0.05);试验组血清BK、5-HT、PGE2水平均低于对照组,差异均有统计学意义(P<0.05)。治疗期间,不良反应发生率试验组10.64%(5/47),与对照组6.38%(3/47)比较,差异无统计学意义(P>0.05)。结论:与单独使用红外线照射治疗相比,温针灸配合红外线照射治疗肩周炎风寒湿痹证可提高疗效,缓解疼痛、改善肩关节功能、降低疼痛介质水平,且安全性高。Objective:To observe the clinical effect of the combination use of warming-needle moxibustion and infrared irradiation for frozen shoulder with wind-cold-damp obstruction syndrome and its effect on bradykinin(BK),5-hydroxytryptamine(5-HT)and prostaglandin E2(PGE2).Methods:A total of 94 patients with frozen shoulder of wind-cold-damp obstruction syndrome treated in Wenzhou TCM Hospital of Zhejiang Chinese Medical University from May 2023 to May 2024 were selected and randomly divided into the control group and the trial group by computer software,with 47 cases in each group.The control group was treated with infrared irradiation,and the trial group was treated with warming-needle moxibustion combined with infrared irradiation.Both groups were treated for four weeks.The clinical effects,scores of Constant-Murley Score(CMS),Shoulder Pain and Disability Index(SPADI),and levels of serum BK,5-HT and PGE2 were compared between the two groups;the adverse reactions during treatment were recorded.Results:After four weeks of treatment,the total effective rate was 91.49%(43/47)in the trial group,higher than that of 74.47%(35/47)in the control group,the difference being significant(P<0.05).After four weeks of treatment,the CMS scores in the two groups were elevated when compared with those before treatment,and the SPADI scores were reduced when compared with those before treatment,differences being significant(P<0.05).The CMS score in the trial group was higher than that in the control group,and the SPADI score was lower than that in the control group,differences being significant(P<0.05).After four weeks of treatment,the levels of serum BK,5-HT and PGE2 in the two groups were down-regulated when compared with those before treatment,differences being significant(P<0.05);the above three levels in the trial group were lower than those in the control group,differences being significant(P<0.05).During the treatment,the incidence of adverse reactions was 10.64%(5/47)in the trial group,and 6.38%(3/47)in the control group,there bein

关 键 词：肩周炎 风寒湿痹证 温针灸 红外线照射 肩关节功能 疼痛介质 

分 类 号：R684.3[医药卫生—骨科学] R246.2[医药卫生—外科学]